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JESSICA FENNELL
NPI 1790148914
Pediatrics - Pediatric Rheumatology in Hartford, CT

Active since April 04, 2016PECOS Enrolled
282 WASHINGTON ST, HARTFORD, CT 06106(860) 545-9970 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 24, 2024, Nov 25, 2022, Apr 20, 2022 and 2 more (5 updates tracked since 2021).

About Jessica Fennell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA FENNELL (NPI 1790148914) is an individual pediatric rheumatology provider in Hartford, Connecticut, licensed in Connecticut (70529) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790148914
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameJESSICA FENNELL
Location Address282 WASHINGTON STHartford, CT 06106-3322
Mailing Address535 E 70th StNew York, NY 10021-4823 · (917) 260-3909 · Fax (917) 260-4522
Phone(860) 545-9970
Sole ProprietorNo
Enumeration DateApril 4, 2016
Last NPPES UpdateDecember 24, 20245 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1790148914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in CT · 70529
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License 70529 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 107775809 (CT)
282 WASHINGTON ST, Hartford, CT 06106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fennell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IRFAN AHMED WARSY MBBS
Pediatrics (Pediatric Cardiology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9147
RYAN CIARLO MD
Pediatrics
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 837-5560
EUNICE HA-YOUNG KIM
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8340
JAMES HAGADORN MD
Pediatrics (Neonatal-Perinatal Medicine)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8950
CRAIG SCHRAMM MD
Pediatrics (Pediatric Pulmonology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9440
NICOLE LYNN BOONE PA
Physician Assistant (Surgical)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
SRAVYA GOURISHETTI
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
HAYA NOOR QUTOB DO
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fennell's NPI number?

The NPI number for Jessica Fennell is 1790148914. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Jessica Fennell located?

Jessica Fennell practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9970.

What is Jessica Fennell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Jessica Fennell enrolled in Medicare?

Yes. Jessica Fennell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Fennell was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.